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Clinical pitfalls in misoprostol‐based medical management of first‐trimester induced and presumed spontaneous abortion
Author(s) -
Wax Joseph R.,
Conroy Kelley,
Pinette Michael G.,
Litton Christian,
Cartin Angelina
Publication year - 2018
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22573
Subject(s) - misoprostol , medicine , abortion , obstetrics , products of conception , pregnancy , medical abortion , second trimester , incomplete abortion , gynecology , gestation , genetics , biology
Abstract When administered inappropriately, first‐trimester misoprostol management of induced or spontaneous abortion can result in loss or damage of a continuing pregnancy. Despite these serious consequences, such misoprostol exposures continue to occur. Unfortunately, contributing factors and preventive measures receive little attention. We describe the cases of 4 women in whom misoprostol was inappropriately administered during management of induced and presumed spontaneous abortion. In each case, careful adherence to published clinical guidance could have avoided the exposures.